Individual
DR. GEOFFREY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11123 PARKVIEW PLAZA DR STE 204, FORT WAYNE, IN 46845-1707
(260) 266-8380
(260) 266-8385
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01079690A
IN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01079690A
IN
207VM0101X
Maternal & Fetal Medicine Physician
63635
WI
Other
Enumeration date
05/11/2011
Last updated
04/07/2026
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